MARK WINSTON BRAITHWAITE DDS - Dentist License in New York | # 019024487

MARK WINSTON BRAITHWAITE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024487

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

WINSTON

Last Name

BRAITHWAITE

Suffix

DDS

Business Name

MARK WINSTON BRAITHWAITE DDS

Original Issue Date

07/22/1997

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

NY

Ever Disciplined

N

LastModifiedDate

01/08/2010